THE ABDOMINAL INCISION IN PELVIC SURGERY

Abdominal and Pelvic Surgery for Practitioners

Plastic surgery repair of abdominal wall and pelvic floor defects.

Urologists often encounter large perineal and abdominal wall defects, the treatment of which may require close collaboration with the plastic surgeon. These complex defects can be successfully treated using a variety of techniques. Ventral hernias or freshly created abdominal wall defects can be treated with the basic principles of tension-free closure using abdominal wall components separation...

Differences in the leukocyte response to incision during upper abdominal surgery with epidural versus general anesthesia.

Epidural anesthesia attenuates surgical stress responses, such as the immune reaction and the pituitary hormone response. In the present study, we investigated the leukocyte response to initial surgical stimulation during upper abdominal surgery. Twenty adult patients (American Society of Anesthesiologists physical status I approximately II) undergoing elective upper abdominal surgery were rand...

Needlescopic-Assisted Surgery: Single-Incision or Multi-Incision Laparoscopic Surgery?

instrument with a small-diameter (less than 3 mm), a Mediflex disposable suture grasper closure device, as a percutaneous organholding device. The authors compared clinical outcomes between a single-port laparoscopic appendectomy (SPA) using a glove port with a percutaneous organ-holding device (group 1) and a SPA using a commercially-available multichannel single port (group 2). In group 1, a ...

The effect of Pre-incision skin infiltration with Lidocaine on postoperative pain following abdominal hysterectomy

 Introduction: Several mehods have been proposed to alleviate pain after hysterectomy. Pre-emptive analgesia has been used to relieve pain following abdominal hysterectomy with conflicting results. This study was performed to evaluate the efficacy of pre-incision skin infiltration of Lidocaine in relieving postoperative pain in patients undergoing abdominal hysterectomy.  Methods: 60 patient...